Corinne N Gratson, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004806

Practice address

43141 Woodward Ave
Bloomfield Hills, MI 48302-5005

Phone

(248) 333-0333

NPI assigned

Sep 25, 2006

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Corrine N Kirchner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DMC Orthopedic Billing Associates LLC

  dba DMC Billing Associates, LLC

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1457387607
  NPD (past)
• Rochester Knee & Sports Medicine, PC

  dba Center for Advanced Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Auburn Hills, MI
  • NPI 1295816460

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1033219266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53568 CHERRYWOOD DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151348",
            "telephone_number": "616-638-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43141 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025005",
            "telephone_number": "248-333-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATSON",
        "first_name": "CORINNE",
        "middle_name": "N",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-12-11",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "5601004806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATE",
            "identifier": "1071654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5601004806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRINE",
            "last_name": "KIRCHNER",
            "middle_name": "N",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devyn Lily Goodman, MS, RDN
• Morgan Goodman
• Max D Gottesman, O.D.
• Veena Govila
• Graceful Care Agency, Inc
• Theresa Graves
• Gray Chiropractic & Wellness Center
• Gray Chiropractic Services, P.C.
• Aaron Marc Gray II, D.C.
• Great Expression Dental Centers PA

• Physician Assistant in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.